Organization
HEART CENTER, INC.
Active
Other names
Heart Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS HARTLEY III M.D. (PRESIDENT)
(256) 539-4080
Entity
Organization
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111410
—
AL
01
—
615072600
DEPARTMENT OF LABOR
FL
01
—
DP2630
RAILROAD MEDICARE
AL
Enumeration date
05/13/2009
Last updated
12/21/2011
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